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Individual

DR. STACEY A. ANDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
11311 S STEPHANIE DR, YUMA, AZ 85367-5862
(928) 287-5901
(928) 342-1331
Mailing address
11311 S STEPHANIE DR, YUMA, AZ 85367-5862
(928) 287-5901
(928) 342-1331

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4068
AZ
103TS0200X
School Psychologist
AZ

Other

Enumeration date
02/22/2007
Last updated
01/26/2010
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